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991.
目的:观察理筋通督手法治疗颈性眩晕的临床疗效。方法:将120例颈性眩晕患者随机分成3组,理筋通督组、传统手法组及安慰剂组。理筋通督组采用理筋通督手法;传统手法组采用传统手法;安慰剂组口服维生素C。结果:理筋通督手法可显著减缓患者基底动脉舒张期最低血流速度(P0.05)。理筋通督组有效率为93.67%,传统手法组有效率为67.5%,安慰剂组有效率为17.5%,3组比较差异有统计学意义(P0.05),理筋通督组明显优于其他两组。结论:理筋通督手法治疗颈性眩晕临床疗效显著。 相似文献
992.
目的 了解安徽省儿童青少年高血压的检出情况,分析其与体脂百分比的关联性。方法 对安徽省8 890名7~17岁中小学生进行了血压和皮褶厚度的测量,参考《中国高血压防治指南(2010年修订版)》中儿童高血压诊断标准评价儿童高血压情况,通过皮褶厚度计算体脂百分比。采用t检验、χ2检验和logistic回归分析体脂百分比与高血压的关联。结果 安徽省7~17岁中小学生高血压患病总人数(率)为1 210人(13.6%)。城市男生高血压患病率高于乡村男生,城市女生高血压总患病率高于乡村女生,城市男生高血压患病率高于城市女生,乡村男生高血压患病率高于乡村女生,差异均有统计学意义(χ2值分别为36.36、7.79、42.10和13.77,P<0.01)。城市男生体脂百分比高于乡村男生,城市女生显著高于乡村女生,差异均具有统计学意义(P<0.05)。男女生在P40~组和P60~组OR值分别为1.65(95% CI:1.12~2.45)和1.75(1.27~2.42),男女生分别从体脂百分比P40和P60开始患病风险明显增加,且男女生的高血压患病风险总体上随着体脂百分比的增加而上升。结论 高体脂百分比会增加儿童青少年高血压患病风险。 相似文献
993.
《Vaccine》2016,34(4):578-585
Virus-like particles (VLPs) vaccines combine many of the advantages of whole-virus vaccines and recombinant subunit vaccines, integrating key features that underlay their immunogenicity, safety and protective potential. We have hypothesized here the effective insertion of the VP1 epitopes (three amino acid residues 21–40, 141–160 and 200–213 in VP1, designated VPe) of foot-and-mouth disease (FMDV) within the external loops of PPV VP2 could be carried out without altering assembly based on structural and antigenic data. To investigate the possibility, development of two recombinant adenovirus rAd-PPV:VP2-FMDV:VPe a or rAd-PPV:VP2-FMDV:VPe b were expressed in HEK-293 cells. Out of the two insertion strategies tested, one of them tolerated an insert of 57 amino acids in one of the four external loops without disrupting the VLPs assembly. Mice were inoculated with the two recombinant adenoviruses, and an immunogenicity study showed that the highest levels of FMDV-specific humoral responses and T cell proliferation could be induced by rAd-PPV:VP2-FMDV:VPe b expressing hybrid PPV:VLPs (FMDV) in the absence of an adjuvant. Then, the protective efficacy of inoculating swine with rAd-PPV:VP2-FMDV:VPe b was tested. All pigs inoculated with rAd-PPV:VP2-FMDV:VPe b were protected from viral challenge, meanwhile the neutralizing antibody titers were significantly higher than those in the group inoculated with swine FMD type O synthetic peptide vaccine. Our results clearly demonstrate the potential usefulness of adenovirus-derived PPV VLPs as a vaccine strategy in prevention of FMDV. 相似文献
994.
This study focuses on the associations between family variables and academic and social school readiness in low-income Black children. Analyses drew from the National Institute for Child Development (NICHD) Study of Early Child Care and Youth Development dataset. The participants included 122 children and their mothers. Data collection occurred when the children were 1, 6, 15, 24, 36, and 54 months old. Findings indicated that maternal sensitivity and the quality of the home environment predicted cognitive and language outcomes, whereas maternal depression and social support predicted social–behavioural outcomes. In addition, the impact of family resources on cognitive and language outcomes was fully mediated by parenting behaviours and the impact of social support on behaviour problems was fully mediated through maternal depression. Implications for family intervention are discussed. 相似文献
995.
Bayesian bent‐cable growth mixture tobit models for longitudinal data with skewness and detection limit: application to AIDS studies 下载免费PDF全文
Getachew A. Dagne 《Statistics in medicine》2016,35(28):5302-5314
This paper presents a new Bayesian methodology for identifying a transition period for the development of drug resistance to antiretroviral drug or therapy in HIV/AIDS studies or other related fields. Estimation of such a transition period requires an availability of longitudinal data where growth trajectories of a response variable tend to exhibit a gradual change from a declining trend to an increasing trend rather than an abrupt change. We assess this clinically important feature of the longitudinal HIV/AIDS data using the bent‐cable framework within a growth mixture Tobit model. To account for heterogeneity of drug resistance among subjects, the parameters of the bent‐cable growth mixture Tobit model are also allowed to differ by subgroups (subpopulations) of patients classified into latent classes on the basis of trajectories of observed viral load data with skewness and left‐censoring. The proposed methods are illustrated using real data from an AIDS clinical study. Copyright © 2016 John Wiley & Sons, Ltd. 相似文献
996.
997.
Shu-ichi Kojima Atsushi Tohei Masashi Ikeda Naohiko Anzai 《Current Neuropharmacology》2015,13(6):830-835
5-Hydroxytryptamine (5-HT) released from colonic mucosal enterochromaffin (EC) cells is a major signaling molecule, which participates in the pathophysiological regulation of colonic functions in gut disorder including irritable bowel syndrome (IBS), but the endogenous modulator system for the 5-HT release is not yet well elucidated. Our in vitro studies in guinea-pig colon have indicated that the cascade pathway of neuronal tachykinergic NK3 receptors and NK2 receptors on peptide YY (PYY)-containing endocrine L cells represents an endogenous modulator system for 5-HT release from EC cells and that melatonin, endogenous tachykinins and PYY play important roles in modulation of the release of 5-HT from EC cells via the endogenous NK2/NK3 receptor cascade system. This review aims at examining the potential role of the endogenous tachykinergic NK2/NK3 receptor cascade system controlling the release of 5-HT from EC cells, with special attention being paid to the pathophysiology of gut disorders including IBS. 相似文献
998.
以南宁市餐厨垃圾资源化利用和无害化处理厂的给排水专业工程设计实例,简要介绍和分析餐厨垃圾资源化利用和无害化处理厂给排水设计中的思路和方法。 相似文献
999.
IntroductionThe UPDRS-IV represents the most common screening tool to assess motor fluctuations in patients with PD despite the lack of a clinimetric validation.ObjectivesWe evaluated sensitivity and specificity of UPDRS-IV using a 12-h waking-day motor assessment as the gold standard.MethodsWe consecutively enrolled PD patients who underwent a 12-h waking-day motor assessment in the study. Patients were clinically evaluated every 2 h for 12 h using the UPDRS-III. Motor scores were reported as a line graph and six blinded raters classified patients as having or not having motor fluctuations. The UPDRS-IV was used in order to assess the presence of predictable and unpredictable motor fluctuations according to items 36–38.ResultsSixty two PD patients were enrolled in the study. According to the raters' evaluations, 39 (62.9%) were classified as having motor fluctuations, while according to the UPDRS-IV 47 (75.8%) presented a motor fluctuation giving a sensitivity of 87.2% (95%CI 72.6–95.7) and a specificity of 43.5% (95%CI 23.2–65.5).ConclusionOur study results confirm the high level of sensitivity with a lower level of specificity of UPDRS-IV to screen motor fluctuations in PD patients. 相似文献
1000.